Average Medicaid Office Visit Payments in Ponce, PR: $21.42
Avg. Paid
$21.42
Range
$0.00 – $179.86
Total Claims
1,360,962
Providers
455
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Ponce, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caribbean Womens Health Institute Csp
Pr 505 Km 1.0 Urb Glenview Gardens |
$67.72 | 12 | 12 |
|
Milton E Irizarry Quinones
91 Calle Union |
$179.86 | 12 | 12 |
|
Alfonso Antonio Hernandez - Ortiz
2225 Ponce Byp Ste 709 |
$0.00 | 12 | 12 |
|
Guillermo Enrique Carrasquillo
8133 Calle Concordia Ste 201 |
$43.52 | 12 | 12 |
|
Go Gogo Foundation
291 Calle Monterrey |
$102.77 | 12 | 12 |
|
Dianne Marie Marquez Minondo
917 Ave Tito Castro |
$6.11 | 12 | 12 |
|
Innovative Cardiology
2225 Ponce Byp Ste 603-604 |
$89.77 | 13 | 13 |
|
Roberto Gonzalez Gonzalez
Salud Ave. #1326 |
$38.19 | 13 | 12 |
|
Ana A Padro- Diaz
1121 Ave Munoz Rivera |
$0.00 | 13 | 13 |
|
Hiram Martin Soler-Bernardini
2225 Ponce By Pass |
$91.35 | 13 | 13 |
|
Luz Tanairi Cardona Colon
917 Avenida Tito Castro |
$0.00 | 13 | 13 |
|
William Almodovar-Sanchez
2162 Ave Las Americas |
$0.00 | 14 | 12 |
|
Jorge G. Anglero Alfaro
2746 Blvd Luis A Ferre |
$0.00 | 14 | 14 |
|
Jaime Osvaldo Rodriguez-Arias
1484 Paseo Fagot |
$0.00 | 14 | 13 |
|
Javier Cintron-Rivera
4412 Calle Gaita |
$0.00 | 15 | 15 |
|
Francis Zayas
Edif Parras |
$41.07 | 16 | 12 |
|
Lucas Ramirez Marquez
Edif Parras |
$50.40 | 16 | 13 |
|
Lorieva Acevedo
2956 Ave Emilio Fagot |
$0.00 | 18 | 14 |
|
Arrhythmia Group Llc
Carr 14 Ave Tito Castro 917 |
$90.45 | 19 | 12 |
|
Osvaldo Antommattei
1211 Munoz Rivera Av |
$9.43 | 19 | 14 |
|
Obgynius Llc
880 Ave Tito Castro Ste 102 |
$59.10 | 20 | 19 |
|
Daniel Collado
14St.Bo.Machuelos |
$0.00 | 21 | 21 |
|
Invasive Gastro-Intestinal Medical Service Psc
909 Ave Tito Castro Ste 612 |
$9.61 | 21 | 19 |
|
Diana Pilar Gaona
2321 Calle Universidad |
$0.00 | 25 | 25 |
|
Perez Y Santos Renal Medical
3011 Ave Fagot |
$80.30 | 26 | 26 |
|
Hector R Rosado-Toledo
2225 Ponce Byp |
$59.74 | 26 | 26 |
|
Dr Osvaldo J Santiago Psc
2606 Calle Mayor |
$59.14 | 27 | 26 |
|
Hector Luis Martinez
2279 Ponce By Pass |
$0.00 | 27 | 24 |
|
Arnaldo M Nieves Ramirez
7810 Calle Nazaret |
$35.02 | 29 | 25 |
|
Alvin David Balay-Gonzalez
2431 Blvd Luis A Ferre |
$0.00 | 29 | 29 |
|
Felipe Sanchez Gaetan
2225 Ponce By Pass |
$20.13 | 30 | 30 |
|
Zahira Marie Lugo Lopez
917 Ave Tito Castro |
$116.19 | 31 | 25 |
|
Jose A Ortiz Rosado
507 Calle Ferrocarril |
$16.82 | 34 | 28 |
|
Heriberto Bourdon Maldonado
Hospital San Lucas Lobby C Suite 3 |
$0.00 | 34 | 33 |
|
Saint Lukes Memorial Hospital Inc
917 Ave Tito Castro |
$47.14 | 35 | 29 |
|
Walter Feliciano-Velez
2225 Ponce By Pass |
$0.00 | 35 | 32 |
|
Rafael L Oms Rivera
2225 Edif Parra |
$80.45 | 36 | 36 |
|
Mildred Livette Serrano Porrata
Carretera 123 Km 9.8 |
$0.00 | 37 | 24 |
|
Carlos M Rivera-Caban
909 Ave Tito Castro Ste 602 |
$13.91 | 37 | 26 |
|
Edgardo Pineiro-Mercado
8118 Calle Concordia |
$0.00 | 38 | 35 |
|
Rosendo Emilio Martinez
2225 Ponce By Pass Suite 401 |
$48.51 | 38 | 37 |
|
Jesus W Rodriguez Rodriguez
Carretera 132 Km.22.1 Bo Canas |
$27.37 | 38 | 28 |
|
Breast Cancer Care, Csp
Torre Med San Lucas |
$47.57 | 40 | 38 |
|
Sonia E Figueroa Cedeno
375 Calle Victoria |
$0.00 | 42 | 34 |
|
Pedro Santiago Rodriguez
2431 Blvd Luis A Ferre Edificio Porrata Pila Ste 101 |
$70.66 | 43 | 28 |
|
Brimarie Feliciano Ramos
Urb. Caminos Del Sur |
$19.19 | 43 | 42 |
|
Jofgrek Oliveras Gotay
344 Urb Las Monjitas Calle Novicia |
$0.00 | 45 | 38 |
|
Rafael Garcia Nieves
909 Ave Tito Castro |
$35.06 | 46 | 43 |
|
Gerardo Jorge Vendrell
2525 Ave Eduardo Ruberte |
$48.54 | 48 | 44 |
|
Francisco Jose Irizarry Rivera
450 Calle Ferrocarril Ste 306 |
$56.81 | 48 | 21 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Ponce, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ponce, PR is $21.42 per claim, based on 1,360,962 claims from 455 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Ponce, PR?
There are 455 Medicaid providers offering Office Visit related services in Ponce, PR according to public payment data.
What is the price range for Office Visit in Ponce, PR?
Medicaid reimbursement for Office Visit in Ponce, PR ranges from $0.00 to $179.86 per claim, with an average of $21.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Ponce, PR
Blood Work & Lab Tests
Avg $9.32
1,169,019 claims
Vaccines & Immunizations
Avg $4.89
299,051 claims
Urinalysis & Urine Tests
Avg $3.76
273,785 claims
Dental Cleaning & Exam
Avg $20.09
231,783 claims
Psychiatric Evaluation
Avg $18.40
217,440 claims
Speech Therapy
Avg $51.49
187,685 claims
Pathology & Lab Services
Avg $89.42
187,636 claims
Eye Exam
Avg $44.60
174,207 claims